A 54-Year-Old Man With Lingual Granuloma and Multiple Pulmonary Excavated Nodules

Chest. 2017 Jan;151(1):e13-e16. doi: 10.1016/j.chest.2016.07.026.

Abstract

A 54-year-old French man was admitted for evaluation of a chronic nodular lesion of the tongue and mandibular lymphadenopathy. He reported active tobacco and cannabis smoking as well as excessive alcohol use. He also reported frequent use of cocaine for several months and a past addiction to IV heroin. He had traveled abroad as a journalist and lived for several months in Columbia and Venezuela 12 years ago. His medical history included chronic hepatitis C infection successfully treated with interferon and ribavirin 6 years ago and high BP.

Publication types

  • Case Reports

MeSH terms

  • Antifungal Agents / administration & dosage
  • Biopsy / methods
  • Diagnosis, Differential
  • Granuloma / diagnosis*
  • Granuloma / etiology
  • Humans
  • Itraconazole / administration & dosage*
  • Lymphadenopathy* / diagnosis
  • Lymphadenopathy* / etiology
  • Male
  • Middle Aged
  • Multiple Pulmonary Nodules / diagnosis*
  • Multiple Pulmonary Nodules / etiology
  • Paracoccidioides / isolation & purification
  • Paracoccidioidomycosis* / complications
  • Paracoccidioidomycosis* / diagnosis
  • Paracoccidioidomycosis* / drug therapy
  • Paracoccidioidomycosis* / physiopathology
  • Tongue Diseases* / etiology
  • Tongue Diseases* / pathology
  • Treatment Outcome

Substances

  • Antifungal Agents
  • Itraconazole